33D0172129 CLIA NUMBER - TRI COUNTY FAMILY MEDICINE PROGRAM

Laboratory Demographics

  • CLIA Code: 33D0172129
  • Facility Name: TRI COUNTY FAMILY MEDICINE PROGRAM
  • Facility Address: 61 STATE STREET
    NUNDA, NY
    ZIP 14517
  • Facility Phone: 585 468-2528
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DR. GEOFFREY G. WITTIG
  • NPI Number: 1295939353
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0172129
LAB Type Community Clinic
Facility Name TRI COUNTY FAMILY MEDICINE PROGRAM
Street 61 STATE STREET
City NUNDA
State NY
ZIP 14517
Phone 585 468-2528
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/9/1998
Certificate Expiration Date 3/26/2027
Facility Type Community Clinic
Lab Director DR. GEOFFREY G. WITTIG

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This page was last updated on: 9/29/2025